Public Museum: Grand Rapids, Michigan

Event Form

Registrations close 10 days prior to program date.

(One form per troop please)

Leader’s Name: _______________________________________________________________ Troop # ______________

Address: ______________________________________City_____________________________________Zip_________

Day Phone: (____)_________________ Email: ___________________________________________

Troop Level:           ____Brownie          ____Junior          ____Cadette          ____Senior

Indicate number of scouts attending program:

___3/15/2008      Saturday 11:00 to 2:00 – Textile Arts – Cadette & Senior ($7 per scout)

___3/29/2008      Saturday 9:30 to 11:30 – Manners Then & Now – Brownie ($7 per scout)

___4/19/2008      Saturday 9:30 to 11:30 – Space Explorers – Brownie ($7 per scout)

___4/19/2008      Saturday 9:30 to 11:30 – Celebrating People – Junior ($7 per scout)

_____Total number of Scouts @ $______each =                     $________

_____# of Troop Leaders (no charge)

_____# of adults (one additional adult for every five scouts is admitted free)

_____# of extra adults (over the above formula) $8.00 each = $________

 Processing fee for mail, phone & internet orders add $1.50    $________             

          Total amount due: $________             

Method of Payment

Check number: ________ Checks payable to Public Museum Grand Rapids

Credit Card:          __ Visa      __ MasterCard     ___ Discover     ___ American Express

Account #: ______________________________________________ Exp. Date _______

Signature _______________________________________________

How did you hear about our Scout event?

___ Girl Scout Resource Book   ___ Mailing   ___ Museum Discoveries   ___ Internet ___Other

Registration: Program size is limited. Registrations are closed ten days prior to date of program. Registrations may be made by mailing in the Event Form, phoning in the information (credit card required), or paid for at the Museum’s admissions desk (must have a completed form). Full payment must accompany each reservation. For phone registrations call (616)456-3977.

Parking: available in the Museum parking structure for a fee.

Cancellation Policy: For a full refund, cancellations must be made 10 days prior to date of program. 50% refund for cancellations  3 to 9 days prior to date of program. No refunds for cancellations 2 days or closer to date of program.

Mail registration form and payment to: Public Museum  Attn. Public Program Office 272 Pearl St. NW Grand Rapids, MI 49504. For questions please call the Public Museum Public Program Office at (616) 456-3537.

For the most up to date information please visit www.grmuseum.org